Application for Academic Promotion to Level B Information to help you complete this form is available in the Academic Promotions section in the Staff Portal. SECTION A – Applicant information Applicant to complete prior to Performance Review (PMP) for promotion meeting 1. APPLICANT DETAILS Staff ID number Gender Title Surname Given Names Preferred Name Work ext. no. Department Email address Position Title Current Level & Step Date of promotion meeting 2. CRITERIA AND LEVELS BEING ADDRESSED Put a cross in the appropriate box to indicate whether you are addressing the Teaching & Learning OR the Research/Creative Works criterion. Service & Leadership must be addressed by all applicants. Criteria being Promotion criteria: addressed Teaching & Learning Demonstrated performance in teaching and learning at a high level as applied to duties at level A and at a satisfactory level as applied to duties at level B Research/Creative works Demonstrated performance in research/creative works at a high level as applied to duties at level A and at a satisfactory level as applied to duties at level B Service & Leadership Demonstrated performance in service and leadership at a satisfactory level as applied X to duties at level B 3. QUALIFICATION REQUIREMENT Promotion to Level B normally requires a higher degree or equivalence, or significant progress towards a doctoral qualification. 3.1 Tertiary Qualifications Title of Award Institution Year awarded Academic Promotion to Level B (18/09/12 VD) Page 1 of 6 3.2 Formal tertiary studies currently being undertaken Title of Award Institution Stage reached Expected date of completion 4. EEO CONSIDERATIONS (if applicable. Maximum 75 words) 5. DECLARATION All the information provided in my completed application form, including attachments, is true and accurate to the best of my knowledge: Signature: Date: Applicant to: Take this form, together with your supporting PMP documentation, to the promotion meeting with your Head of School Contact the Academic Promotions Officer if you do not receive written notification of the outcome of your application within two months of the meeting Academic Promotion to Level B (18/09/12 VD) Page 2 of 6 SECTION B – Dean and Head of Department recommendation This Section is to be completed by the Head of Department and Dean of School (comment section only) This application has been considered through the Performance Review (PMP) process Qualification requirement The applicant holds a higher degree OR has equivalence OR has made significant progress towards a doctoral qualification Y N Y N Y N Y N Promotion criteria This applicant meets the promotion criteria as nominated in Section A, part 2: Teaching & Learning OR Research / Creative works Y N Y N AND Service & Leadership Y N Recommendation Promotion recommended Y N Comments by Head of Department Head of Department signature Name Academic Promotion to Level B (18/09/12 VD) Date Page 3 of 6 Comments by Dean of School Head of Department signature Name Date Head of Department to: Return the completed form to applicant for applicant’s onwards submission to HR Manager together with completed PMP form. Academic Promotion to Level B (18/09/12 VD) Page 4 of 6 SECTION C – Deputy Pro Vice-Chancellor recommendation This Section is to be completed by the Deputy Pro Vice-Chancellor - address 1, 2, 3 or 4 as applicable. Where promotion is recommended by the Deputy Pro Vice-Chancellor The applicant has demonstrated appropriate qualifications, skills, and achievement of the promotion criteria nominated in Section A of Part 2. Promotion is approved Comments (optional) Where promotion is NOT recommended by the Deputy Pro Vice-Chancellor The applicant has not demonstrated appropriate qualifications and skills, and/or achievement in the nominated promotion criteria, as indicated below: Please indicate (X) in the appropriate box(es). Qualifications and skills Not Demonstrated Teaching and Learning OR Research/Creative works criterion (as nominated by applicant in Part 2 of Section A) Not demonstrated Service criterion Not demonstrated Promotion is not approved Rationale Deputy Pro ViceChancellor signature Name Academic Promotion to Level B (18/09/12 VD) Date Page 5 of 6 SECTION D –Pro Vice-Chancellor Approval Vice-Chancellor to complete this Section where the Pro Vice-Chancellor has recommended the promotion of an applicant who is on a continuing contract and does not hold a doctoral qualification. Promotion is approved Promotion is not approved Pro Vice-Chancellor signature Vice-Chancellor Professor Ian Kerr Date On completion, Pro Vice-Chancellor to advise applicant, Head of Department, Dean of School and HR Manager of the outcome. ACADEMIC PROMOTIONS USE ONLY Where promotion has been approved Date form received by Academic Promotions Unit (HR Department) Promotion meets the requirements of the Academic Promotions Policy Procedures Y N Effective date of promotion Date HR department notified of successful promotion Where promotion has not been approved Date form received by Academic Promotions Unit (HR Department) Name Academic Promotion to Level B (18/09/12 VD) Date Page 6 of 6